SALLY A KOCH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041217609

License Status

INACTIVE

Business

First Name

SALLY A

Last Name

KOCH

Business Name

SALLY A KOCH

Original Issue Date

11/08/1983

Effective Date

04/13/2010

Expiration Date

05/31/2012

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

03/08/2012